| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,265 |
1,218 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,453 |
1,445 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,470 |
1,401 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
637 |
636 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
612 |
575 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
312 |
$21K |
| 99058 |
|
1,257 |
1,195 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
634 |
626 |
$6K |
| 92567 |
|
413 |
394 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
163 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
113 |
$3K |
| 94010 |
|
139 |
136 |
$3K |
| 83655 |
|
217 |
217 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
254 |
254 |
$1K |
| 36416 |
|
321 |
316 |
$816.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$815.72 |
| 85018 |
|
227 |
227 |
$456.96 |
| 92587 |
|
774 |
762 |
$262.53 |
| 92015 |
Determination of refractive state |
609 |
602 |
$168.63 |
| 90685 |
|
321 |
320 |
$0.00 |
| 90713 |
|
426 |
425 |
$0.00 |
| 90648 |
|
439 |
439 |
$0.00 |
| 90633 |
|
245 |
245 |
$0.00 |
| 90670 |
|
440 |
440 |
$0.00 |
| 90707 |
|
212 |
211 |
$0.00 |
| 90700 |
|
544 |
543 |
$0.00 |
| 90686 |
|
373 |
372 |
$0.00 |
| 90744 |
|
220 |
220 |
$0.00 |
| 90716 |
|
201 |
200 |
$0.00 |
| 90680 |
|
296 |
296 |
$0.00 |